KILLIP Y KIMBALL PDF

The Killip Classification for Heart Failure quantifies severity of heart failure in NSTEMI and predicts day mortality. The Killip classification is widely used in patients presenting with acute MI for the purpose of risk stratification, as follows{ref42}: Killip class I. Conclusion: The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a.

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Implications for early discharge. Data collection Information pertaining to the date of the last evaluation of each living patient, medication used 48 h before the admission and at discharge, and on deaths during hospitalization or long-term clinical follow-up were collected by actively searching the patient’s electronic records, electronic data management systems of the institute, and medical records, as well as via telephone.

Am Heart J ; It was developed using data from patients treated with thrombolytic therapy in a randomized trial and predicts mortality at 30 days. A potentially relevant issue in the treatment of patients with STEMI is that this population is highly heterogeneous regarding their risk of adverse events.

Score taken after 7 days of hospital admission. From a medical report.

Killip Class

Abstract Background The classification or index of heart failure severity in patients with acute myocardial infarction AMI was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units CCU during the decade of KyK as head and neck makes no sense in the context given.

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The superiority of primary percutaneous coronary intervention PCI over fibrinolysis has been demonstrated in several studies: Eur Heart J ; Login or register free and only takes a few minutes to participate in this question. Mortality was assessed at 30 days and at 6 months. Journal List Arq Bras Cardiol v. Primary percutaneous coronary intervention; ST elevation acute kimbaall infarction; Score Risk; Mexico. Another aspect is the kimall with other diagnostic tests for left ventricular dysfunction, such as transthoracic echocardiography, in order to determine left ventricular ejection fraction and measurement of the natriuretic peptide NT-pro-BNP.

Killip Class | Calculate by QxMD

Modeling across trials and individual patients. Our study, in contrast, has some important differences. The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. B SE Wald p.

Cardiac auscultation and teaching rounds: We detected a direct, significant, and independent association between the Killip classification and risk of death during killiip follow-up post-AMI. The distributions of discrete or categorical variables are expressed as frequencies and ikmball, and comparisons were calculated using chi-square or Fisher’s exact test.

We observed that mortality was eight-fold higher in the high-risk group than in the low-risk group This article has been cited by other articles in PMC. Methods The information for the analysis was obtained prospectively from the database of the Coronary Care Unit of the National Institute of Cardiology in Mexico City, covering the period from October to February Unsuccessful reperfusion in patients with ST-segment elevation myocardial infarction treated by primary angioplasty.

By using this site, you agree to the Terms of Use and Privacy Policy. Spanish term or phrase: However, it has been observed that the benefit of primary PCI is different in each group of patients and the benefit is greatest in those at high risk.

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Peer comments on this answer and responses from the answerer neutral. Although originally described in the pre-reperfusion era, the use of this classification in ST-segment elevation myocardial infarction STEMI was further studied in the post-reperfusion era 23.

Table 2 Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with STEMI. Head and Neck Explanation: With respect to cardiac function, The same was observed in the period up to 30 days Figure 1.

Vote Promote or demote ideas. Treatment of myocardial infarction in a coronary care unit. N Engl J Med. Other limitations, as in other observational studies, could include possible selection biases and not elucidating confounding factors, resulting in a non-ideal fit in the Cox proportional hazards models.

It would be important to identify this group of at-risk patients, as has been done for patients receiving thrombolytic therapy, 21 so that preventive measures could be implemented in an attempt to prevent the development of cardiogenic shock.

It is notable that our sample size was considerably greater than that in the study, which included patients with a suspected diagnosis of AMI. Microvascular obstruction and the no-refow phenomenon after percutaneous coronary intervention. Killip 3rd T, Kimball JT. Review native language verification applications submitted by your peers. Evaluation and general management of patients with and at risk for AKI.

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